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이개강 연골로 재건한 골성 외이도 후벽의 큰 결손 1예

A Case of Reconstruction of Large Defect in Posterior Wall of Bony External Auditory Canal Using Cavum Conchal Cartilage

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참고문헌

키워드

주제분류이비인후과학

초록

External auditory canal (EAC) wall defect may occur due to cholesteatoma, and surgeries forchronic ear diseases, trauma, neoplasm or idiopathic. Conservative treatment is available if theseverity of the symptom is mild or asymptomatic. However, these defects require repairmentnot only to attain relief from intermittent otologic symptoms but also to prevent retractionpockets and sequential cholesteatoma. There have been no reported cases of reconstruction ofEAC wall defect by cartilage with perichondrium and groove of wall defect by drilling. Wemanipulated the conchal cartilage so that it could effectively provide robust reconstruction ofthe canal wall defect. Herein we report a case of EAC reconstruction with mastoidectomy withno further complications.

Abstract

External auditory canal (EAC) wall defect may occur due to cholesteatoma, and surgeries forchronic ear diseases, trauma, neoplasm or idiopathic. Conservative treatment is available if theseverity of the symptom is mild or asymptomatic. However, these defects require repairmentnot only to attain relief from intermittent otologic symptoms but also to prevent retractionpockets and sequential cholesteatoma. There have been no reported cases of reconstruction ofEAC wall defect by cartilage with perichondrium and groove of wall defect by drilling. Wemanipulated the conchal cartilage so that it could effectively provide robust reconstruction ofthe canal wall defect. Herein we report a case of EAC reconstruction with mastoidectomy withno further complications.

참고문헌 (13)

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  6. 최시홍, "외이도 협착을 유발한 턱관절 정맥 기형 1예", 대한이비인후-두경부외과학회지, 62(5), pp.299~302 (2019), 대한이비인후과학회[DOI]
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  12. Parelkar K, "Butterfly tragal cartilage for repair of focal canal wall defects", Acta Otorrinolaringol Esp(Engl Ed), 71(2), pp.88~92 (2020)
  13. Heo KW, "Alternative to canal wall-down mastoidectomy for sclerotic mastoid cavities : Epitympanoplasty with mastoid obliteration", Ann Otol Rhinol Laryngol, 123(1), pp.47~52 (2014)

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